Role of COPD phenotypes in treatment

Jadwiga Wedzicha

Is it likely that in the near future the knowledge on chronic obstructive pulmonary disease (COPD) phenotypes will help to choose an optimal treatment?

Jadwiga Wedzicha: COPD is a very complicated condition. It is a combination of various disorders, and also the disease changes over life. I think this is something we have not really considered. If you are a younger COPD patient, the disorder looks different – maybe you just have bronchitis – while as you get older, you are more likely to develop respiratory failure.

There is a lot of interest at the moment in different phenotypes: bronchitis, emphysema, high eosinophil count, bronchiectasis, patients who are very breathless, patients who are very hyperinflated. I think in the future we will be tailoring the right treatment to the right patient, but in order to do that we need even more novel therapies.

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